Active NPI
Infinity Care of East la
- Skilled Nursing Facility
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 970000035
- Legal business name
- INFINITY CARE OF EAST LA
- Practice address
- 101 S Fickett St
Los Angeles, CA 90033-4017 - Phone
- (323) 262-8108
- Fax
- (323) 261-3548
- NPI assigned
- Nov 26, 2007
- Last updated
- Jan 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rani Magboo
- Title
- Office Manager
- Phone
- (323) 261-8108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 970000035 | CA | Primary |
Addresses
Primary practice location
101 S Fickett St
Los Angeles, CA 90033-4017
Mailing address
101 S Fickett St
Los Angeles, CA 90033-4017
Phone (323) 262-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080201000322 | CA | Part A Provider - Skilled Nursing Facility | 1658453451 | Practice locations: Los Angeles, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659552289. Details of each certification follow.
Skilled nursing facility certification: CCN 056063
- Legal name
- INFINITY CARE OF EAST LA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 18, 1969
- Last certification
- Jun 7, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 11, 2007 in CA
- Enrollment address
- 101 S Fickett St
Los Angeles, CA 90033-4017 - Nursing home name
- INFINITY CARE OF EAST LOS ANGELES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Infinity Care of East Los Angeles
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 18, 1969
- Medicare certification status
- Active
- Certified beds
- 99
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
101 S Fickett St
Los Angeles, CA 90033
Phone (323) 261-8108
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Infinity Care of East la | 5% Or Greater Direct Ownership Interest | Aug 4, 2007 | 100% |
| Saif Amin | 5% Or Greater Direct Ownership Interest | Jul 9, 2008 | 62.5% |
| Corporate Officer | Jul 9, 2008 | 62.5% | |
| Corporate Director | Jul 9, 2008 | 62.5% | |
| Muhammad Kamdar | 5% Or Greater Direct Ownership Interest | Aug 4, 2007 | 17.5% |
| Corporate Officer | Aug 4, 2007 | 17.5% | |
| Corporate Director | Aug 4, 2007 | 17.5% | |
| Operational/Managerial Control | Aug 4, 2007 | ||
| Bina a Kamdar | 5% Or Greater Direct Ownership Interest | Aug 4, 2007 | 20% |
| Corporate Officer | Aug 4, 2007 | 20% | |
| Corporate Director | Aug 4, 2007 | 20% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Azusa, CA
- NPI 1063474583
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1194899336
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1659552289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S FICKETT ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900334017",
"telephone_number": "323-262-8108",
"fax_number": "323-261-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S FICKETT ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900334017",
"telephone_number": "323-262-8108",
"fax_number": "323-261-3548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY CARE OF EAST LA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "MAGBOO",
"authorized_official_first_name": "RANI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "323-261-8108",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "970000035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.